Individual provider · Type 1 NPI

Myra A. Gantt, RN

Adult Psychiatric/Mental Health Registered Nurse · Columbia, SC

NPI number 1750658449 Active

Practice location

1135 Carter St
Columbia, SC 29204-2811

Fax (803) 754-6051

Mailing address

600 Antioch Pl
Columbia, SC 29209-5504

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809X74253 (SC)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1750658449

Myra A. Gantt, RN's National Provider Identifier is 1750658449, issued on Nov 22, 2011. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Columbia, SC. The record was last updated on Nov 22, 2011.